Resident physicians' and Midwives' Knowledge of Preeclampsia and Eclampsia Reflected in Their Practice at a Clinical Hospital in Southern Romania
Romania has drastically improved an array of health indicators in recent years, including maternal mortality rates, which decreased from 1990 to 2015, but the mortality rates are still high, ranking among the first in Europe. Preeclampsia and eclampsia constitute one of the primary causes of materna...
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| Veröffentlicht in: | Journal of medicine and life 2019-10, Vol.12 (4), p.435-441 |
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| description | Romania has drastically improved an array of health indicators in recent years, including maternal mortality rates, which decreased from 1990 to 2015, but the mortality rates are still high, ranking among the first in Europe. Preeclampsia and eclampsia constitute one of the primary causes of maternal death in the country. The study was conducted from early January to the end of February 2019 to assess the current state of resident physicians' and midwives' knowledge of preeclampsia and eclampsia reflected in their practice at a clinical hospital in southern Romania. Self-administered questionnaires were used for data collection. Most of the investigated resident physicians and midwives (87.5%) answered correctly regarding the correct definition of preeclampsia. The first choice of procedure for the patient with preeclampsia (vaginal delivery or C-section) was chosen correctly by only 37.5% of the participants. Regarding the correct identification of the necessary paraclinical tests used for women with suspected preeclampsia, 58.3% of the participants answered correctly. As far as the correct identification of the possible risks of dexamethasone administration to mothers is concerned, only 29.2% of the participants answered correctly. Also, 58.3% of the participants answered correctly regarding the correct identification of contraindicated uterotonic drugs for women with diagnosed hypertension. Resident physicians and midwives are aware of pregnancy complications, but they hold limited knowledge specific to pregnancy complications as preeclampsia and eclampsia. It is imperative to promote studies to evaluate the impact of enhancing their training to include additional content related to the early detection and management of preeclampsia and eclampsia. |
| doi_str_mv | 10.25122/jml-2019-0130 |
| format | Article |
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Preeclampsia and eclampsia constitute one of the primary causes of maternal death in the country. The study was conducted from early January to the end of February 2019 to assess the current state of resident physicians' and midwives' knowledge of preeclampsia and eclampsia reflected in their practice at a clinical hospital in southern Romania. Self-administered questionnaires were used for data collection. Most of the investigated resident physicians and midwives (87.5%) answered correctly regarding the correct definition of preeclampsia. The first choice of procedure for the patient with preeclampsia (vaginal delivery or C-section) was chosen correctly by only 37.5% of the participants. Regarding the correct identification of the necessary paraclinical tests used for women with suspected preeclampsia, 58.3% of the participants answered correctly. As far as the correct identification of the possible risks of dexamethasone administration to mothers is concerned, only 29.2% of the participants answered correctly. Also, 58.3% of the participants answered correctly regarding the correct identification of contraindicated uterotonic drugs for women with diagnosed hypertension. Resident physicians and midwives are aware of pregnancy complications, but they hold limited knowledge specific to pregnancy complications as preeclampsia and eclampsia. It is imperative to promote studies to evaluate the impact of enhancing their training to include additional content related to the early detection and management of preeclampsia and eclampsia.</description><identifier>ISSN: 1844-122X</identifier><identifier>EISSN: 1844-3117</identifier><identifier>DOI: 10.25122/jml-2019-0130</identifier><identifier>PMID: 32025263</identifier><language>eng</language><publisher>Romania: Carol Daila University Foundation</publisher><subject>Adult ; Childbirth & labor ; Data collection ; Dexamethasone ; Eclampsia - diagnosis ; Female ; Health Knowledge, Attitudes, Practice ; Hospitals ; Humans ; Hypertension ; Identification ; Internship and Residency ; Knowledge ; Male ; Maternal mortality ; Midwifery ; Mortality ; Obstetrics ; Original ; Physicians ; Pre-eclampsia ; Pre-Eclampsia - diagnosis ; Preeclampsia ; Pregnancy ; Pregnancy complications ; Questionnaires ; Risk assessment ; Romania ; Studies ; Surveys and Questionnaires ; Vagina ; Womens health</subject><ispartof>Journal of medicine and life, 2019-10, Vol.12 (4), p.435-441</ispartof><rights>Carol Davila University Press.</rights><rights>Copyright Carol Daila University Foundation Oct-Dec 2019</rights><rights>Carol Davila University Press 2019</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3330-e5fe44250b81d459fe14bf2ecb1865350fe5e3e34a2aaad70f663e844281f0503</citedby><cites>FETCH-LOGICAL-c3330-e5fe44250b81d459fe14bf2ecb1865350fe5e3e34a2aaad70f663e844281f0503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993296/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993296/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32025263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soggiu-Duta, Carmen Liliana</creatorcontrib><creatorcontrib>Suciu, Nicolae</creatorcontrib><creatorcontrib>Department of Obstetrics-Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania</creatorcontrib><creatorcontrib>Carmen Liliana Soggiu-Duta, Department of Obstetrics Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, E-mail: dr.lilianasoggiu@gmail.com</creatorcontrib><creatorcontrib>Department of Obstetrics-Gynecology, Alessandrescu Rusescu Institute for Mother and Child Care, Bucharest, Romania</creatorcontrib><title>Resident physicians' and Midwives' Knowledge of Preeclampsia and Eclampsia Reflected in Their Practice at a Clinical Hospital in Southern Romania</title><title>Journal of medicine and life</title><addtitle>J Med Life</addtitle><description>Romania has drastically improved an array of health indicators in recent years, including maternal mortality rates, which decreased from 1990 to 2015, but the mortality rates are still high, ranking among the first in Europe. Preeclampsia and eclampsia constitute one of the primary causes of maternal death in the country. The study was conducted from early January to the end of February 2019 to assess the current state of resident physicians' and midwives' knowledge of preeclampsia and eclampsia reflected in their practice at a clinical hospital in southern Romania. Self-administered questionnaires were used for data collection. Most of the investigated resident physicians and midwives (87.5%) answered correctly regarding the correct definition of preeclampsia. The first choice of procedure for the patient with preeclampsia (vaginal delivery or C-section) was chosen correctly by only 37.5% of the participants. Regarding the correct identification of the necessary paraclinical tests used for women with suspected preeclampsia, 58.3% of the participants answered correctly. As far as the correct identification of the possible risks of dexamethasone administration to mothers is concerned, only 29.2% of the participants answered correctly. Also, 58.3% of the participants answered correctly regarding the correct identification of contraindicated uterotonic drugs for women with diagnosed hypertension. Resident physicians and midwives are aware of pregnancy complications, but they hold limited knowledge specific to pregnancy complications as preeclampsia and eclampsia. It is imperative to promote studies to evaluate the impact of enhancing their training to include additional content related to the early detection and management of preeclampsia and eclampsia.</description><subject>Adult</subject><subject>Childbirth & labor</subject><subject>Data collection</subject><subject>Dexamethasone</subject><subject>Eclampsia - diagnosis</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Identification</subject><subject>Internship and Residency</subject><subject>Knowledge</subject><subject>Male</subject><subject>Maternal mortality</subject><subject>Midwifery</subject><subject>Mortality</subject><subject>Obstetrics</subject><subject>Original</subject><subject>Physicians</subject><subject>Pre-eclampsia</subject><subject>Pre-Eclampsia - diagnosis</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Questionnaires</subject><subject>Risk assessment</subject><subject>Romania</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Vagina</subject><subject>Womens health</subject><issn>1844-122X</issn><issn>1844-3117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkU9v1DAQxSMEolXplSOyxAEuKf6bTS5IaFUoogi0FImbNeuMu145drCTVv0YfGO87bICfPGM_PPTvHlV9ZzRM64Y52-2g685ZV1NmaCPqmPWSlkLxhaP93WBfhxVpzlvaTlSNU0jnlZHglOueCOOq18rzK7HMJFxc5edcRDyKwKhJ59df-tusHSfQrz12F8jiZZ8TYjGwzBmB_fc-aFbofVoJuyJC-Rqgy4VGszkDBKYCJCld8EZ8OQi5tFNpSjgtzhPG0yBrOIAwcGz6okFn_F0f59U39-fXy0v6ssvHz4u313WRghBa1QWpeSKrlvWS9VZZHJtOZo1axslFLWoUKCQwAGgX1BbrGPZCW-ZpYqKk-rtg-44rwfsTdlBAq_H5AZIdzqC0_--BLfR1_FGN10neNcUgdd7gRR_zpgnPbhs0HsIGOesuVCcKkZbVdCX_6HbOKdQ7O0o0cgFF4tCnT1QJsWcE9rDMIzq-8B1CVzvAte7wMuHF39bOOB_4hW_Ac57p_Y</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Soggiu-Duta, Carmen Liliana</creator><creator>Suciu, Nicolae</creator><general>Carol Daila University Foundation</general><general>Carol Davila University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201910</creationdate><title>Resident physicians' and Midwives' Knowledge of Preeclampsia and Eclampsia Reflected in Their Practice at a Clinical Hospital in Southern Romania</title><author>Soggiu-Duta, Carmen Liliana ; Suciu, Nicolae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3330-e5fe44250b81d459fe14bf2ecb1865350fe5e3e34a2aaad70f663e844281f0503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Childbirth & labor</topic><topic>Data collection</topic><topic>Dexamethasone</topic><topic>Eclampsia - diagnosis</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Identification</topic><topic>Internship and Residency</topic><topic>Knowledge</topic><topic>Male</topic><topic>Maternal mortality</topic><topic>Midwifery</topic><topic>Mortality</topic><topic>Obstetrics</topic><topic>Original</topic><topic>Physicians</topic><topic>Pre-eclampsia</topic><topic>Pre-Eclampsia - diagnosis</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Questionnaires</topic><topic>Risk assessment</topic><topic>Romania</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Vagina</topic><topic>Womens health</topic><toplevel>online_resources</toplevel><creatorcontrib>Soggiu-Duta, Carmen Liliana</creatorcontrib><creatorcontrib>Suciu, Nicolae</creatorcontrib><creatorcontrib>Department of Obstetrics-Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania</creatorcontrib><creatorcontrib>Carmen Liliana Soggiu-Duta, Department of Obstetrics Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, E-mail: dr.lilianasoggiu@gmail.com</creatorcontrib><creatorcontrib>Department of Obstetrics-Gynecology, Alessandrescu Rusescu Institute for Mother and Child Care, Bucharest, Romania</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medicine and life</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soggiu-Duta, Carmen Liliana</au><au>Suciu, Nicolae</au><aucorp>Department of Obstetrics-Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania</aucorp><aucorp>Carmen Liliana Soggiu-Duta, Department of Obstetrics Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, E-mail: dr.lilianasoggiu@gmail.com</aucorp><aucorp>Department of Obstetrics-Gynecology, Alessandrescu Rusescu Institute for Mother and Child Care, Bucharest, Romania</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resident physicians' and Midwives' Knowledge of Preeclampsia and Eclampsia Reflected in Their Practice at a Clinical Hospital in Southern Romania</atitle><jtitle>Journal of medicine and life</jtitle><addtitle>J Med Life</addtitle><date>2019-10</date><risdate>2019</risdate><volume>12</volume><issue>4</issue><spage>435</spage><epage>441</epage><pages>435-441</pages><issn>1844-122X</issn><eissn>1844-3117</eissn><abstract>Romania has drastically improved an array of health indicators in recent years, including maternal mortality rates, which decreased from 1990 to 2015, but the mortality rates are still high, ranking among the first in Europe. Preeclampsia and eclampsia constitute one of the primary causes of maternal death in the country. The study was conducted from early January to the end of February 2019 to assess the current state of resident physicians' and midwives' knowledge of preeclampsia and eclampsia reflected in their practice at a clinical hospital in southern Romania. Self-administered questionnaires were used for data collection. Most of the investigated resident physicians and midwives (87.5%) answered correctly regarding the correct definition of preeclampsia. The first choice of procedure for the patient with preeclampsia (vaginal delivery or C-section) was chosen correctly by only 37.5% of the participants. Regarding the correct identification of the necessary paraclinical tests used for women with suspected preeclampsia, 58.3% of the participants answered correctly. As far as the correct identification of the possible risks of dexamethasone administration to mothers is concerned, only 29.2% of the participants answered correctly. Also, 58.3% of the participants answered correctly regarding the correct identification of contraindicated uterotonic drugs for women with diagnosed hypertension. Resident physicians and midwives are aware of pregnancy complications, but they hold limited knowledge specific to pregnancy complications as preeclampsia and eclampsia. It is imperative to promote studies to evaluate the impact of enhancing their training to include additional content related to the early detection and management of preeclampsia and eclampsia.</abstract><cop>Romania</cop><pub>Carol Daila University Foundation</pub><pmid>32025263</pmid><doi>10.25122/jml-2019-0130</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Childbirth & labor Data collection Dexamethasone Eclampsia - diagnosis Female Health Knowledge, Attitudes, Practice Hospitals Humans Hypertension Identification Internship and Residency Knowledge Male Maternal mortality Midwifery Mortality Obstetrics Original Physicians Pre-eclampsia Pre-Eclampsia - diagnosis Preeclampsia Pregnancy Pregnancy complications Questionnaires Risk assessment Romania Studies Surveys and Questionnaires Vagina Womens health |
| title | Resident physicians' and Midwives' Knowledge of Preeclampsia and Eclampsia Reflected in Their Practice at a Clinical Hospital in Southern Romania |
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